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HomeMy WebLinkAboutMontville H.S. Scoreboard Replacements TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 BUILDING PERMIT Permit Number: B2017-0347 Date: 09-Aug-17 Map/Lot: 030/002-000 Owner ID: 4824000 Project Location: 800 OLD COLCHESTER ROAD Unit: Job Description: Remove&Replace Two Existing Score Boards for Montville High School Owner Nam Town Of Montville Tenant Name N/A Careof: 310 Norwich N L Tpke Uncasville SI 06382- Telephone: (860)848-3030 Applicant Name Alyson Dombrowski Telephone: (860)940-6642 DBA: Laurentano Sign Group Lic/Reg Type Lic/Reg N 0 1 Tremco Drive Exp Date: Terryville CT 06786- Construction Value Permit Fees Construction Information Building Value: $13,000.00 Building Fee: $0.00 Use Group: E Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 2016 State Building Code Mechanical Valu $0.00 Mechanical Fe $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type 5B Total Value: $13,000.00 Penalty Fee: $0.00 Permit Code: C4 C of 0 Fee: $0.00 Comment Plan Review Fe $0.00 State Ed Fee: $3.38 Total Fee Paid: $3.38 It shall be the owners reosonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL, ELECTRICAL PERMIT INSPECTIONS ❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draffstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation C7 Certificate of Appro •I e s ate • occupancy Building Official's Approval: /111."-- J Town of Montville Building Department 310 Norwich-New London Tpke. lel. MO-848-3030, Ext 382 Uncasville, CT 08382 Fax. 860-848-7231 PERMIT APPLICATION FORM Permit No.: �O Type of Work Occupancy Classification Construction Type Permit Type ❑New Construction A.1 D B p H-i L 1-1 t R•t ❑Si• D Addition 0 A-2 0 B,Medical 0 H-2 ❑ 1-2 0 R-2 0 8-2 In Typo IA Type IIIB 0 BuildingPlm D AlteratIo' ❑A-3 ❑E ❑H.3 ❑ 1.30 Type IV 0 Mechanical ang ❑ChanOa of U9e 0 A-4 0 F-1 014.4 0 1.4 0 R-3 0 U 0Type IiA 17 Type VA ❑Mechanical 0 R-4 D Mixed ❑Typo IIB ❑Type VB LJ E ectrical 0 A.5 0 F.2 ❑ M []Type IIIA CRStt: Property Address: 800 Old Colchester Road (Numbed (Street) (Unit) Job Description: Remove & Replace 2 existing Score Boards for Montville High School Owner: Town of Montville Tenant: Montville High School A0dross: 310 Norwich New London Tpke Address: B00 Old Colchester Rd. Clty/State2lp: Uncasville, CT 06382 Clty/State2p: Oakdale, CT 06370 i Telephone C B60 ) 848 - 3030 Telephone( ) - Applicant: Lauretano Sign Group - Alyson Dombrowski DBA: Address: 1 Tremco Drive Terryville ( ) 940 6462 City state; CT— Zip Code._ 067 86 Telephone 860 _ Contractors -Complete the Following: Llcense/Reglgtratlon Type: License/Registration No.: Expiration Date: I hereby certify that the proposed work will conform to the State Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and Author attest that JIM proposed work is,authorized by the owner in fee end that i am authorized to make application for a permit for such work Of doacribed above // Owner/Agent Signature: 7____ `; _ _ L . ___ _ Date: '- 2.(o Irl Construction Value Permit Fees Building Value: °, iVy,�) �f,,.., _ ` _� Building FAa __ Plumbing Value: __` Plumbing Fee: Mechanical Value' Mechanical Fee; Electrical Value: ____, T_ Electrical Fee' Total Value: Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee ?j. 3S Total Fee; ArtiACd•AL9rrr 2a,2007 Town of Montville Building Department File Receipt Date: 26-Jul-17 ReceiptNo: 12489 Received From: I auretano Sian Group Job Address: 800 Old Colchester Road Town Fees Collected State of Connecticut Fees Collected Bldg Cash: $0.00 State Cash: $0.00 Bldg Check: $1.43 State Check: $1.43 Bldg Credit: $0.00 State Credit: Fire Cash: $0.00 $0.00 Fire Check: $0.00 Construction Value: $5 500.00 Fire Credit: $0,00 Demolition Value: $0.00 CheckNo: 0 Received By: Carmen Kneeland CM yytQ (Y 64 Client#: 635615 LAURESIG1 ACORU., CERTIFICATE OF LIA ILITY INSURANCE DATE(MMTDD'YYYY) 6130/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JNLY I.ND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. E(TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONS1ITUTE 1 CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HCLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the )olicy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may req ire ar endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: USI Insurance Services LLC PHONE (ac (A/C,No,Ext):855 874-0123 ,No): 203 634-5701 530 Preston Avenue ADDRESS: usictcertificates@usi.com Meriden, CT 06450 INSURER(S)AFFORDING COVERAGE NAIL k 855 874-0123 INSURER A:Charter Oak Fire Insurance Comp 25615 INSURED INSURER B:Travelers Property Cas. Co. of 25674 Lauretano Sign Group Inc INSURERC:Farmington Casualty Company 41483 1 Tremco Drive INSURER D:Charter Oak Fire Insurance Comp 25615 Terryville, CT 06786 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP INSR WVD POLICY NUMBER (MM/DD!YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY P6303638A242C0F1 01/01/2017 01/01/2018 pEAAC�HHGOECCCpURRREENCE 51,000,000 CLAIMS-MADE X OCCUR PRErr115ES(1=a dccurDrence) 5100,000 MED EXP(Any one person) $5,000 PERSONAL 8 ADV INJURY 51,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 POLICY X JECT LOC PRODUCTS-COMP/OP AGG 52,000,000 OTHER. 5 D AUTOMOBILE LIABILITYCOMBIS BA3638A24217 01/01/2017 01/01/2018(Ea acciNdeEDnt)INGLE LIMIT ;1,000,000 — X ANY AUTO BODILY INJURY(Per person) $ — ALL OWNED SCHEDULED — - AUTOS AUTOS BODILY INJURY(Per accident) S X HIRED AUTOS X NON-OVVFIED PROPERTY DAMAGE AUTOS5 (Per accident) 5 B X UMBRELLA LIAB X OCCUR PSMCUP3638A242 01/01!2017 01/01/2018 EACH OCCURRENCE 55,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION 510000 $ C WORKERS COMPENSATION CUB3638A24217 01/01/2017 01/01/2018 X STATUTE OTH- AND EMPLOYERS'LIABILITYER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/Nn E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS bef E .DISEASE-POLICY LIMIT 51,000,000 A Cont Equip(ACV) P6303638A242C0F1 01/01/2017 01/01/2018 100,000/1,000deductible Inst Floater 200,00012,500deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Town of Montville is included as an Additional Insured under the General Liability policy when required in a written agreement in accordance with policy terms,conditions,and exclusions regarding services provided by the Named Insured. CERTIFICATE HOLDER CANCELLATION Town of Montville SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 310 Norwich-New London Tpke. ACCORDANCE WITH THE POLICY PROVISIONS. Uncasville, CT 06382 AUTHORIZED REPRESENTATIVE I 04B(2/1104a— © /1 ,— ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S20927383/M 19591768 RXTCH Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 PERMIT APPLICATION FORM Permit No.: Type of Work Occupancy Classification Construction Type Permit Type ❑New Construction 0 A-1 ❑B 0 H-1 ❑ I-1 ❑ R-1 0 S-1 ❑Type l ❑Addition 0 A-2 ❑B,Medical0 1-2 yP BA ❑Type II16 ❑ Plumbi ❑Alteration ❑A-3 ❑E 0 H 2 ❑ R-2 ❑S-2 Type IB CI Type IV ❑ Plumbing ❑Chanae of Use ❑A-4 ❑ E-1 ❑H-3 ❑ 1-3 ❑ R-3 ❑ U ❑Type IIA ❑Type VA 0 Mechanical 0 A-5 ❑ F-2 0 H-4 ❑ 1-4 ❑R-4 ❑ Mixed 0 Type IIB ❑Type VB ❑ Electrical ❑M ❑Type 111A CRS#: T Property Address: Af9 C1) Ca l Cr /ri /C (Ner) (Street) (Unit) Job Description: L%�ZOt 17.4,16 sccie t-tactrA ASrl?tom, fi a7feGe- Owner: 7""'21 Q r ("ladi r l(T'Lnant: / 41 Sji C (c e dote- Address: 5ote-Address: Address: City/State/Zip: City/State/Zip: Telephone( ) - Telephone( ) - Applicant: 2 72t f I �67f a CG DBA: Address: j2400 U Z' C O Ae c /69 City: �4���co State: C ( Zip Code: 616--r70 ( Telephone - P ) Contractors - Complete the Following: License/Registration Type: License/Registration No.: Expiration Date: I hereby certify that the proposed work will conform to the State Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work as described above. Owner/Agent Signature: £/8 /2af ? e: Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: Plumbing Fee: Mechanical Value: Mechanical Fee: Electrical Value: Electrical Fee: Total Value: / )iO go' Penalty Fee: C of 0 Fee: Plan Review Fee: State Ed Fee: 3.345, Total Fee: Revised:August 23,2007 Town of Montville Building Department File Receipt Date: o8-Aua-17 ReceiptNo: 12537 Received From: - - Job Address: 800 Old Colchester Road Town Fees CnI(ectad _Stateof Connecticut Few Coll tzted Bldg Cash: $3.38 State Cash: $3 38 Bldg Check: nn State Check: $0.00 Bldg Credit: �0 00 State Credit: 10.00 Fire Cash: n nn Fire Check: a0 00 Fire Credit: qn nn Construction Value: ai3.non on CheckNo: Demolition Value: o stn.nn Received By: Carmen Kneeland N N N N 0 - ^. ko ` ` N /1 .a ` G 3 s A W N O Cc' , m rD o a rn ^n' _ �' - 2 7--, II —• �� � — - m j 4 V V V V n -- J 0 CL CO o= C O c 3 0 '+ X N ro o3, n j n -5O $a O. 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W SN 2_ O ro F o s D nJ 7 N W d - N,V -, r^ c 3 a_ rD 13 s 1 U1 Wco E F N g r _ 0 2c ,`2 d n 6-1- N a9' a T, I w o U' m 2 o' O o m C O Wm ZC z n n n 3 g N • y m 0 N a p w A m 3 w III D a O. 1 d u mg Do �v_ x •,.° o F g g,3 CI 1 0 D e o ? a O r— ' '3 A 00 V a b wix 7 n'2- O 2 n n � n 3 t 17 0 D m 8'-7" C TO C - ELECTRICAL jE CONDUIT _ CO PLAN VIEW OTT. CONCRETE: 1.6 CU. YDS. EACH 10'-0" SIGNS AND SCOREBOARD Z '1'14-1 MID �E a a o INDIANS INNING GUESTS ct Z a z o zc.D CO 61-w 0 ii Lt 0 61 LL 000 STRIKE 00 OUT Kd jln Memory of Will HuntingtoH I �., Class of 2003 a 0 loW 6 x 20.0 LBS./FT, ASTM A-36 STEEL I-BEAM W EMBEDDED IN FOUNDATION TO WITHIN 3" OF BOTTOM TO CREATE CONCRETE COVER UNDER POLE. 0 O JUNCTION BOX M i GRADE = 1 PER jt ��Ni. '• 1��� \ ii .: i i/i/✓�'v a F LOCAL CODE yF• . ���' , i 11 • 0 0 i r :'iii �� • 1p4 z ELECTRICAL 3. •, I I, ' i i i . 'o o CONDUIT • III. y I.� .•. M3'-O" io" i ), 'u, CONCRETE • l W � W •• �\ N ›/ \rl/>• err COL Nf�l'*' 3" CLEAR ,`k,:�� cR.cp'+, 8'-7" C TO C { *. i�! + i�e� 2S. f ELEVATION VIEW p�<I�Ns.-w ;� TWO (2) PYLONS AS SHOWN TO BE INSTALLED AT THIS SITE `Fa•amx..xos"'�c '1J3/I, SITE: Montville High School 800 Old Colchester Road FOUNDATION DESIGN NOTES: Oakdale, Connecticut 06370 I. Concrete shall hove a minimum compressive strength of 3000 PSI at 28 days. A 112 Jul 17 I RELEASED FOR PERMITTING J.HOGAN 2. Caisson footings designed using a soil bearing force UTE �3dtl"101REV ..rxovco of 150 PSF per foot Lateral based on Class 4 soil. Robert—James & Associates, Inc. 12255 West 187th Street, Mokena Illinois 60448-9737 DESIGN WINDLOAO phone: 708-479-8385 fax: 708-479-8395 email: rja370comcast.net Based on the Connecticut Building Code (2012 IBC) using "1 , Risk Category II, Exposure C and 140 mph wind speed. 18 —O DIRECT BURY TWIN POLES FOR SIGNS AND SCOREBOARDS Duo R A.KLOTZKE DAIS 12 Jul 17 Saui DRAWING NUMBER SHEET REV. °CM er J.HOGAN {oAit 12 Jul 17 NONE 11707027 1 OF 1 I A N N r N 1, 2 co 3T wr :) � rD . c l II 2 .. 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N ' w a, w 0 Q1 N = O (I) n� - n a.• N n ori) co n O TN N y0 O_��** cb a a..P cp - p W 3 Q . * M A)r) A) N R. m N a° CB wco w = a.0 .011 . - O y CCD O) W p 71 j d CG (L O PJ cn o m ao c� v p a , — V y A Z < < N ('p x. y - n V 3 ryp0 co y CO N z E N� A A ` y in ((p ( ' w v COo . a. �. o 0 CA B3 V -• _q y , N 'sU' 3 w 0 CD 03 N 0 C s 'Z' A a f-.?. i.,-, 7C ri V A A COAA SU A � Ca g.p cn N gi n --s N g co Cll 0 w w — 0_ 00 C w D I m 0 I o Building Department Town of Montville CONSTRUCTION PERMIT APPROVAL 800 a(--V CO'L eff2 G� l� ozO ( CC 06 Z6 Property Address Job Description Required Approval Department Permit Issuance Approval Tax Collector Comments: Signature/date Fire Marshal Comments:11 C IVITVA Signature/date ❑ Planning &Zoning Required for all permits except Plumbing,Electrical,Mechanical, Roofing,Siding,Windows&Doors Signature/date ❑ Health Department Required for properties with private septic or well Signature/date Comments: ❑ WPCA, Administrative Required for properties on sewer Signature/date Comments: ❑ WPCA, Operations When Required by WPCA Comments: Signature/date ❑ Department of Public Works Required when project includes driveway work or certain drainage requirements Comments: Signature/date ❑ Montville Police Department Required for all permits EXCEPT one and two family residential Signature/date Comments: ❑ Copy of State Dept. of Transportation Certificate Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operationper CGS 14-311 required— Signature/date Building Department Final Inspection Revised March23,2015